33G-28334-54510

3 vaccinations 23 coded responses 29 check-ins 23 free-text entries 6 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 112 / NY
Registered: 2021-01-04

Relationship: Self
Race: White
Ethnicity: Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-01-04
Registered in v-safe
2021-01-04
Dose 1 — Moderna
2021-01-04
Survey response — day 0, dose 1
MedDRA: Dizziness, Immediate post-injection reaction, Muscle spasms, Paraesthesia — Feeling: Good · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness, Nausea

Free text: Muscle cramps and paresthias for aprox 2 minutes after injection on injected arm. Very slight dizziness 5 minutes after injection. Resolved after 15 min

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-05
Survey response — days 1–6 daily, dose 1
MedDRA: Urticaria — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site

Free text: Hives under the injection site appeared this morning

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-06
Survey response — days 1–6 daily, dose 1
MedDRA: Dry mouth, Thirst, Urticaria — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: Hives on injected arm and forehead, dry mouth/thirsty

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-06
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-07
Survey response — days 1–6 daily, dose 1
MedDRA: Tinnitus — Feeling: Good · Site: Pain, Redness, Swelling, Itching · Headache, Fatigue or tiredness

Free text: Tinnitus

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-08
Survey response — days 1–6 daily, dose 1
MedDRA: Effusion, Middle ear effusion, Tinnitus — Feeling: Good · Site: Pain, Redness, Swelling, Itching · Headache · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Tinnitus, tm effusion

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-08
Report sent to call center — days 1–6 daily, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-09
Survey response — days 1–6 daily, dose 1
MedDRA: Hypoacusis, Injection site bruising, Injection site discolouration, Middle ear effusion, Tinnitus — Feeling: Good · Site: Redness, Swelling, Itching

Free text: Bilatteral Tinnitus, tm effusion, muffled hearing. Bruised/Skin darkening on injection site

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-10
Survey response — days 1–6 daily, dose 1
MedDRA: Hypoacusis, Tinnitus — Feeling: Fair · Site: Itching · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Tinnitus, muffled hearing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-10
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-11
Survey response — day 7, dose 1
MedDRA: Ear discomfort, Hypoacusis, Tinnitus — Feeling: Good · Site: Itching

Free text: Tinnitus, ears popping, muffled hearing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-18
Survey response — day 14, dose 1
MedDRA: Hypoacusis, Injection site bruising, Injection site erythema, Injection site pruritus, Injection site swelling, Tinnitus — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Tinnitus and muffled hearing worsened until day 8 and has improved. Itching, redness and swelling of injection site came back on day 10 after the vaccine. Day 14 the area of vaccine is mildly itchy and looks bruised. Chills that come and go.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-18
Report sent to call center — day 14, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-31
Survey response — day 21, dose 1
MedDRA: Back pain, Rheumatoid arthritis, Tinnitus — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: Still experiencing tinnitus. Flare up of back pain and rheumatoid arthritis started on 1/22/2021.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-31
Report sent to call center — day 21, dose 1
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-03
Dose 2 — Moderna
2021-02-03
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness

Adult check-in
2021-02-04
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Eye pain, Hypoaesthesia, Palpitations, Paraesthesia — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: Palpitations, light headedness, eyes hurt, pins and needles/slightly numb feeling on foread and cheeks

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-05
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia, Headache, Injection site pain, Neck pain, Pain, Palpitations, Tinnitus — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: palpitations, tinnitus, headache and sharp temple pain, neck and shoulder pain on injection side.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-06
Survey response — days 1–6 daily, dose 2
MedDRA: Headache, Palpitations, Tinnitus, Tremor — Feeling: Fair · Site: Pain, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Palpitations, buzzing or tremor feeling on left side of chest to shoulder (side of injection), tinnitus, sharp temple pains.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-08
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Tinnitus — Feeling: Good · Site: Pain, Itching

Free text: Tinnitus, lightheaded

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-10
Health check-in — day 7, dose 2
Feeling: Good · Site: Itching · None

Adult check-in
2021-02-15
Call 1 — Left Voicemail
2021-02-17
Survey response — day 14, dose 2
MedDRA: Fatigue — Feeling: Good

Free text: Fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-25
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-04
Survey response — day 28, dose 2
MedDRA: Ear discomfort, Tinnitus — Feeling: Good

Free text: Ears popping, ringing.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-11
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-17
Survey response — day 42, dose 2
MedDRA: Ear discomfort, Office visit, Tinnitus — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Tinnitus and clogged ears started after I received dose one Resolves then returns. Followed up with ENT. Hearing test is normal and no cerumen impaction. · Healthcare visit (other): ENT

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Report sent to call center — day 42, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-11
Call 1 — Left Voicemail
2021-08-04
Survey response — 6 months, dose 2
MedDRA: Tinnitus — Feeling: Good

Free text: Still experiencing the tinitus since my first dose

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-12-21
Dose 3 — Moderna
2021-12-24
Survey response — days 1–6 daily, dose 3
MedDRA: Rash — Feeling: Fair · Site: Pain, Redness, Itching · Headache, Rash, not including the immediate area around the injection site

Free text: Fainy Rash on chest since 12/23

MedDRA releases: 2024-11 · check-in free text available
2021-12-26
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-12-27
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-01-06
Survey response — day 14, dose 3
MedDRA: Fatigue, Feeling hot, Headache — Feeling: Fair

Free text: Headache, fatigue feeling feverish but no fever

MedDRA releases: 2024-11 · check-in free text available
2022-01-11
Survey response — day 21, dose 3
MedDRA: Brain fog, Fatigue — Feeling: Fair

Free text: Brain fog, fatigue

MedDRA releases: 2024-11 · check-in free text available
2022-01-22
Survey response — day 28, dose 3
MedDRA: Heavy menstrual bleeding, Menstruation delayed, Pain in jaw — Feeling: Fair

Free text: Late & heavier than normal menstrual period, jaw pain

MedDRA releases: 2024-11 · check-in free text available
2022-02-06
Survey response — day 42, dose 3
MedDRA: Vertigo — Feeling: Fair

Free text: Vertigo

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-04	Moderna
2	2021-02-03	Moderna
3	2021-12-21	Moderna	No

Call center

6 call center cases

6 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 1 — day 0, dose 1

2021-01-04

Systemic reaction (other): Muscle cramps and paresthias for aprox 2 minutes after injection on injected arm. Very slight dizziness 5 minutes after injection. Resolved after 15 min

Release 1 — days 1–6 daily, dose 1

2021-01-05

Systemic reaction (other): Hives under the injection site appeared this morning

2021-01-06

Systemic reaction (other): Hives on injected arm and forehead, dry mouth/thirsty

2021-01-07

Systemic reaction (other): Tinnitus

2021-01-08

Systemic reaction (other): Tinnitus, tm effusion

2021-01-09

Systemic reaction (other): Bilatteral Tinnitus, tm effusion, muffled hearing. Bruised/Skin darkening on injection site

2021-01-10

Systemic reaction (other): Tinnitus, muffled hearing

Release 1 — day 7, dose 1

2021-01-11

Systemic reaction (other): Tinnitus, ears popping, muffled hearing

Release 2 — day 14, dose 1

2021-01-18

Symptoms: Tinnitus and muffled hearing worsened until day 8 and has improved. Itching, redness and swelling of injection site came back on day 10 after the vaccine. Day 14 the area of vaccine is mildly itchy and looks bruised. Chills that come and go.

Release 3 — day 21, dose 1

2021-01-31

Symptoms: Still experiencing tinnitus. Flare up of back pain and rheumatoid arthritis started on 1/22/2021.

Release 3 — days 1–6 daily, dose 2

2021-02-04

Systemic reaction (other): Palpitations, light headedness, eyes hurt, pins and needles/slightly numb feeling on foread and cheeks

2021-02-05

Systemic reaction (other): palpitations, tinnitus, headache and sharp temple pain, neck and shoulder pain on injection side.

2021-02-06

Systemic reaction (other): Palpitations, buzzing or tremor feeling on left side of chest to shoulder (side of injection), tinnitus, sharp temple pains.

2021-02-08

Systemic reaction (other): Tinnitus, lightheaded

Release 4 — day 14, dose 2

2021-02-17

Symptoms: Fatigue

Release 5 — day 28, dose 2

2021-03-04

Symptoms: Ears popping, ringing.

Release 5 — day 42, dose 2

2021-03-17

Symptoms: Tinnitus and clogged ears started after I received dose one Resolves then returns. Followed up with ENT. Hearing test is normal and no cerumen impaction.

Healthcare visit (other): ENT

Release 9 — 6 months, dose 2

2021-08-04

Symptoms: Still experiencing the tinitus since my first dose

Release 10 — days 1–6 daily, dose 3

2021-12-24

Systemic reaction (other): Fainy Rash on chest since 12/23

Release 10 — day 14, dose 3

2022-01-06

Symptoms: Headache, fatigue feeling feverish but no fever

Release 10 — day 21, dose 3

2022-01-11

Symptoms: Brain fog, fatigue

Release 11 — day 28, dose 3

2022-01-22

Symptoms: Late & heavier than normal menstrual period, jaw pain

Release 11 — day 42, dose 3

2022-02-06

Symptoms: Vertigo

Each entry is dated by the survey it was written in (the CDC re-sent the releases with survey dates in 2025); click a date to see that survey response. The CDC cut some text off at about 250 characters: symptoms in every release, and the other two fields in releases 9-12. Those entries are marked "cut off by CDC".

MedDRA terms by release

Field	Preferred term	2021-09	2023-04	2024-11
HCVO	Office visit	✓	✓	✓
SD	Back pain	✓	✓	✓
SD	Brain fog	·	·	✓
SD	Ear discomfort	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Feeling hot	·	·	✓
SD	Headache	·	·	✓
SD	Heavy menstrual bleeding	·	·	✓
SD	Hypoacusis	✓	✓	✓
SD	Injection site bruising	✓	✓	✓
SD	Injection site erythema	✓	✓	✓
SD	Injection site pruritus	✓	✓	✓
SD	Injection site swelling	✓	✓	✓
SD	Menstruation delayed	·	·	✓
SD	Office visit	✓	✓	✓
SD	Pain in jaw	·	·	✓
SD	Rheumatoid arthritis	✓	✓	✓
SD	Tinnitus	✓	✓	✓
SD	Vertigo	·	·	✓
SRO	Arthralgia	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Dry mouth	✓	✓	✓
SRO	Ear discomfort	✓	✓	✓
SRO	Effusion	○	✓	○
SRO	Eye pain	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Hypoacusis	✓	✓	✓
SRO	Hypoaesthesia	✓	✓	✓
SRO	Immediate post-injection reaction	✓	✓	✓
SRO	Injection site bruising	✓	✓	✓
SRO	Injection site discolouration	✓	✓	✓
SRO	Injection site pain	○	✓	○
SRO	Middle ear effusion	✓	✓	✓
SRO	Muscle spasms	✓	✓	✓
SRO	Neck pain	✓	✓	✓
SRO	Pain	✓	·	✓
SRO	Palpitations	✓	✓	✓
SRO	Paraesthesia	✓	✓	✓
SRO	Rash	·	·	✓
SRO	Thirst	✓	✓	✓
SRO	Tinnitus	✓	✓	✓
SRO	Tremor	✓	✓	✓
SRO	Urticaria	✓	✓	✓

✓ active code · ○ coded but marked inactive · blank = not in that release